Research Article
Type D personality in patients with tension-type headache: relationships with clinical features and quality of life
Abstract
Purpose: The aim of this study was to investigate the associations between Type D personality and clinical features and quality of life in patients with tension-type headache (TTH).
Material and Methods: Eighty-three patients with TTH were enrolled in this study. Headache characteristics of the patients were recorded and the severity of headache was evaluated by Visual Analogue Scale (VAS). Type D personality was assessed using Type D Scale and quality of life was assessed using 36-Item Short-Form Health Survey (SF-36).
Results: We found that physical and mental subscales of SF-36 scores were significantly lower in TTH patients with type D personality than those without type D personality. The scores of total Type D Scale were found to be positively correlated with headache frequency and negatively correlated with the scores of physical and mental subscales of SF-36). In multivariate linear regression analysis total score of the type D scale was found to be independently associated with the physical and mental subscale of the SF-36 and headache frequency.
Conclusion: Type D personality traits may lead to an increase in headache frequency and decrease in quality of life in patients with TTH. Therefore, early recognition of type D personality and providing psychological support may contribute to better quality of life in patients with TTH.
References
- Cathcart S, Winefield AH, Lushington K, Rolan P. Stress and tension-type headache mechanisms. Cephalalgia. 2010;30:1250-67.
- Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27:193-210.
- Speciali JG, Eckeli AL, Dach F. Tension-type headache. Expert Rev Neurother. 2008;8:839-53. 4. Olesen J. Clinical and pathophysiological
- observations in migraine and tension-type headache
- explained by integration of vascular, supra-spinal and
- myofascial inputs. Pain. 1991;46:125-32.
- Cathcart S, Bhullar N, Immink M, Della Vedova C, Hayball J. Pain sensitivity mediates the relationship between stress and headache intensity in chronic tension-type 2012;17:377-80. Pain Res Manag.
- Bera SC, Khandelwal SK, Sood M, Goyal V. A comparative study of psychiatric comorbidity, quality of life and disability in patients with migraine and tension type headache. Neurol India. 2014;62:516-20.
- Boz C, Gazioglu S, Altunayoglu V, Hocaoglu C. Effect of serotonergic antidepressant therapy on temperament and character scales in patients with chronic tension-type headache. Psychiatry Clin Neurosci. 2007;61:534-42.
- Lipchik GL, Penzien DB. Psychiatric comorbidities in patients with headache. Sem Pain Med. 2004;2:93- 105.
- Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005;67:89-97.
- Gilmour J, Williams L. Type D personality is associated with maladaptive health related behaviours. J Health Psychol. 2012;17:471-8.
- Mols F, Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems. Health Qual Life Outcomes. 2010;8:9.
- Denollet J. Type D personality. A potential risk factor defined. J Psychosom Res. 2000;49:255-66.
- Sher L. Type D personality: the heart, stress, and cortisol. QJM. 2005;98:323-9.
- Erkol İnal E, Demirci K, Doğru A, Şahin M. Ankylosing Spondylitis patients with Type D personality have worse clinical status. Mod Rheumatol. 2016;26:138-45.
- Van Middendorp H, Kool MB, Van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of Type D personality in fibromyalgia. Gen Hosp Psychiatry. 2015 (in press).
- The international classification of headache disorders 2nd edition. Cephalalgia. 2004;24:8-160.
- Alçelik A, Yıldırım O, Canan F, Eroğlu M, Aktaş G, Şavlı H. A Preliminary psychometric evaluation of the type d personality construct in Turkish hemodialysis patients. Journal of Mood Disorders. 2012;2:1-5.
- Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa Form-36 (KF-36)’nın Türkçe versiyonu’nun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi [Turkish]. 1999;12:102-6.
- Bertolotti G, Vidotto G, Sanavio E, Frediani F. Psychological and emotional aspects and pain. Neurol Sci. 2003;24:71-5.
- Perozzo P, Savi L, Castelli L, Valfrè W, Lo Giudice R, Gentile S et al. Anger and emotional distress in patients with migraine and tension-type headache. J Headache Pain. 2005;6:392-9.
- Bag B, Hacihasanoglu R, Tufekci FG. Examination of anxiety, hostility and psychiatric disorders in patients with migraine and tension-type headache. Int J Clin Pract. 2005;59:515-21.
- Yucel B, Kora K, Ozyalcin S, Alcalar N, Ozdemir O, Yucel A. Depression, automatic thoughts, alexithymia, and assertiveness in patients with tension-type headache. Headache. 2002;42:194-9.
- Ozdemir O, Aykan F, Ozdemir PG. Coping Strategies and personality traits in women patients with migraine and tension type headache. Journal of Mood Disorders. 2014;4:59-65.
- Aaseth K, Grande RB, Leiknes KA, Benth JŠ, Lundqvist C, Russell MB. Personality traits and psychological distress in persons with chronic tension-type headache. The Akershus study of chronic headache. Acta Neurol Scand. 2011;124:375- 82.
- Rasmussen BK. Migraine and tension-type headache in a general population: psychosocial factors. Int J Epidemiol. 1992;21:1138–43.
- Chen W, Yu S, Zhu J, Chai H, He W, Wang W. Personality characteristics of male sufferers of chronic tension-type and cervicogenic headache. J Clin Neurol. 2012;8:69-74.
- Boz C, Velioglu S, Ozmenoglu M, Sayar K, Alioglu Z, Yalman B et al. Temperament and character profiles of patients with tension-type headache and migraine. Psychiatry Clin Neurosci. 2004;58:536-43. 28. Nash JM, Thebarge RW. Understanding psychological stress, its biological processes, and impact 2006;46:1377-86. headache. Headache.
- Nachit‑Ouinekh F, Dartigues JF, Henry P, Becg JP, Chastan G, Lemaire N et al. Use of the headache impact test (HIT‑6) in general practice: Relationship with quality of life and severity. Eur J Neurol. 2005;12:189‑93.
- Doering LV, Dracup K, Caldwell MA, Moser DK, Erickson VS, Fonarow G et al. Is coping style linked to emotional states in heart failure patients? J Card Fail. 2004;10:344-9.
- Williams L, O'Connor RC, Howard S, Hughes BM, Johnston DW, Hay JL et al. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res. 2008;64:63–9.
Gerilim tipi başağrısı olan hastalarda D tipi kişilik: Klinik özellikler ve yaşam kalitesi ile ilişkiler
Abstract
Amaç: Bu çalışmanın amacı, gerilim tipi başağrısı (GTBA) olan hastalarda, D tipi kişilik ile klinik özellikler ve yaşam kalitesi arasındaki ilişkinin incelenmesidir.
Gereç ve Yöntem: Çalışmaya GTBA tanısı konmuş 83 hasta dahil edildi. Hastaların başağrısı özellikleri kaydedildi ve başağrısı şiddeti Görsel Analog Skala ile değerlendirildi. D tipi kişilik D tipi Kişilik Ölçeği ile değerlendirildi. Yaşam kalitesi ise Kısa Form-36 (SF-36) Yaşam Kalitesi Ölçeği ile değerlendirildi.
Bulgular: D tipi kişiliği olan GTBA hastalarında SF-36 fiziksel ve mental bölümü skorları D tipi kişiliği olmayanlara göre istatistiksel olarak anlamlı düzeyde düşük saptandı. Toplam D tipi kişilik Ölçeği puanı ile başağrısı sıklığı arasında anlamlı pozitif ve SF-36 fiziksel ve mental bölümü puanları arasında anlamlı negatif ilişki bulundu. Çok değişkenli lineer regresyon analizinde D tipi kişiliğin SF-36 fiziksel ve mental bölümleriyle ile başağrısı sıklığı üzerine bağımsız etkisi olduğu saptandı.
Sonuç: D tipi kişilik özellikleri GTBA hastalarında başağrısı sıklığında artışa ve yaşam kalitesinde azalmaya yol açabilir. Bu nedenle, GTBA hastalarında D tipi kişiliğin erken tanınması ve psikolojik destek sağlanması daha iyi yaşam kalitesine katkı sağlayabilir.
References
- Cathcart S, Winefield AH, Lushington K, Rolan P. Stress and tension-type headache mechanisms. Cephalalgia. 2010;30:1250-67.
- Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27:193-210.
- Speciali JG, Eckeli AL, Dach F. Tension-type headache. Expert Rev Neurother. 2008;8:839-53. 4. Olesen J. Clinical and pathophysiological
- observations in migraine and tension-type headache
- explained by integration of vascular, supra-spinal and
- myofascial inputs. Pain. 1991;46:125-32.
- Cathcart S, Bhullar N, Immink M, Della Vedova C, Hayball J. Pain sensitivity mediates the relationship between stress and headache intensity in chronic tension-type 2012;17:377-80. Pain Res Manag.
- Bera SC, Khandelwal SK, Sood M, Goyal V. A comparative study of psychiatric comorbidity, quality of life and disability in patients with migraine and tension type headache. Neurol India. 2014;62:516-20.
- Boz C, Gazioglu S, Altunayoglu V, Hocaoglu C. Effect of serotonergic antidepressant therapy on temperament and character scales in patients with chronic tension-type headache. Psychiatry Clin Neurosci. 2007;61:534-42.
- Lipchik GL, Penzien DB. Psychiatric comorbidities in patients with headache. Sem Pain Med. 2004;2:93- 105.
- Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005;67:89-97.
- Gilmour J, Williams L. Type D personality is associated with maladaptive health related behaviours. J Health Psychol. 2012;17:471-8.
- Mols F, Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems. Health Qual Life Outcomes. 2010;8:9.
- Denollet J. Type D personality. A potential risk factor defined. J Psychosom Res. 2000;49:255-66.
- Sher L. Type D personality: the heart, stress, and cortisol. QJM. 2005;98:323-9.
- Erkol İnal E, Demirci K, Doğru A, Şahin M. Ankylosing Spondylitis patients with Type D personality have worse clinical status. Mod Rheumatol. 2016;26:138-45.
- Van Middendorp H, Kool MB, Van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of Type D personality in fibromyalgia. Gen Hosp Psychiatry. 2015 (in press).
- The international classification of headache disorders 2nd edition. Cephalalgia. 2004;24:8-160.
- Alçelik A, Yıldırım O, Canan F, Eroğlu M, Aktaş G, Şavlı H. A Preliminary psychometric evaluation of the type d personality construct in Turkish hemodialysis patients. Journal of Mood Disorders. 2012;2:1-5.
- Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa Form-36 (KF-36)’nın Türkçe versiyonu’nun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi [Turkish]. 1999;12:102-6.
- Bertolotti G, Vidotto G, Sanavio E, Frediani F. Psychological and emotional aspects and pain. Neurol Sci. 2003;24:71-5.
- Perozzo P, Savi L, Castelli L, Valfrè W, Lo Giudice R, Gentile S et al. Anger and emotional distress in patients with migraine and tension-type headache. J Headache Pain. 2005;6:392-9.
- Bag B, Hacihasanoglu R, Tufekci FG. Examination of anxiety, hostility and psychiatric disorders in patients with migraine and tension-type headache. Int J Clin Pract. 2005;59:515-21.
- Yucel B, Kora K, Ozyalcin S, Alcalar N, Ozdemir O, Yucel A. Depression, automatic thoughts, alexithymia, and assertiveness in patients with tension-type headache. Headache. 2002;42:194-9.
- Ozdemir O, Aykan F, Ozdemir PG. Coping Strategies and personality traits in women patients with migraine and tension type headache. Journal of Mood Disorders. 2014;4:59-65.
- Aaseth K, Grande RB, Leiknes KA, Benth JŠ, Lundqvist C, Russell MB. Personality traits and psychological distress in persons with chronic tension-type headache. The Akershus study of chronic headache. Acta Neurol Scand. 2011;124:375- 82.
- Rasmussen BK. Migraine and tension-type headache in a general population: psychosocial factors. Int J Epidemiol. 1992;21:1138–43.
- Chen W, Yu S, Zhu J, Chai H, He W, Wang W. Personality characteristics of male sufferers of chronic tension-type and cervicogenic headache. J Clin Neurol. 2012;8:69-74.
- Boz C, Velioglu S, Ozmenoglu M, Sayar K, Alioglu Z, Yalman B et al. Temperament and character profiles of patients with tension-type headache and migraine. Psychiatry Clin Neurosci. 2004;58:536-43. 28. Nash JM, Thebarge RW. Understanding psychological stress, its biological processes, and impact 2006;46:1377-86. headache. Headache.
- Nachit‑Ouinekh F, Dartigues JF, Henry P, Becg JP, Chastan G, Lemaire N et al. Use of the headache impact test (HIT‑6) in general practice: Relationship with quality of life and severity. Eur J Neurol. 2005;12:189‑93.
- Doering LV, Dracup K, Caldwell MA, Moser DK, Erickson VS, Fonarow G et al. Is coping style linked to emotional states in heart failure patients? J Card Fail. 2004;10:344-9.
- Williams L, O'Connor RC, Howard S, Hughes BM, Johnston DW, Hay JL et al. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res. 2008;64:63–9.
There are 32 citations in total.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Research |
| Authors | |
| Publication Date | September 30, 2016 |
| Acceptance Date | March 17, 2016 |
| Published in Issue | Year 2016 Volume: 41 Issue: 3 |
Cited By
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https://doi.org/10.17098/amj.497485
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